Inland Point Senior Estates JV LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

APPLIED FOR Issued in OR

Legal business name

INLAND POINT SENIOR ESTATES JV LLC

Practice address

2265 Inland Drive
North Bend, OR 97459

Phone

(541) 756-9740

Fax

(541) 756-9739

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth M Moss

Title

Senior Executive Director

Phone

(541) 756-0176

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Sue Haney, FNP

  • Family Nurse Practitioner
  • Powers, OR
  • NPI 1801984406
  NPD (past)
• Leann Jean Willis Welch, NP

  • Family Nurse Practitioner
  • Coos Bay, OR
  • NPI 1679523971
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1952595340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 BROADWAY ST",
            "address_2": "PMB 132",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592200",
            "telephone_number": "541-756-9740",
            "fax_number": "541-756-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 INLAND DRIVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-756-9740",
            "fax_number": "541-756-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND POINT SENIOR ESTATES JV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-756-0176"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274679",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennise Dennell Hughey, QMHA
• Robert Walter Hunter, MD
• Kimberly Iboy
• Icco, LLC
• Inland Point Limited Partnership
• Innovative Physical Therapy, Inc
• Integrated Counseling LLC Laura J Vancara LPC NCC
• Stormy M Iverson
• Robert Alan James
• Hyun Soo Jang, MD

• Clinic/Center in North Bend, OR
• Providers in North Bend, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.